BIRAJ MUKESH SHAH MD - Dentist License in Illinois | # 137001013

BIRAJ MUKESH SHAH MD

Business Entity

ACTIVE

License Type

Dentist

Description

DENTAL SEDATION PERMIT

License Number

137001013

License Status

ACTIVE

Business

N

Title

MD

First Name

BIRAJ

Middle

MUKESH

Last Name

SHAH

Business Name

BIRAJ MUKESH SHAH MD

Original Issue Date

11/16/2018

Effective Date

08/14/2024

Expiration Date

09/30/2027

State

IL

Specialty/Qualifier

DEEP SEDATION AND GENERAL ANESTHESIA

Ever Disciplined

N

LastModifiedDate

08/14/2024